HomeMy WebLinkAboutSubcontractor agreements, PLUMBNG NOT ASSIGNEDPERMIT # ISSUE DATE 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- - -- -�- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Thompson's Remodeling & Home Repair, Inc.
(Type of Trade) (Primary Contractor)
For the project located at �� `i.y N Kings Highway
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding out• pat•ticipation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pul•suant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qufllifin•)
PRINT
COUNTY CERTIFICATION NUMBER
State of Florida, County of Indian River
The foregoing instrument was signed before me this _day of
20_, by
who is personally Imown _or has produced fl
as iJenfificflfion.
Signahn•e of Nofnry Public
Print Name of Nofnry Public
Revised 11/16/2016
V
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signet helm•¢ me this _day of
20_, by
who is personally Icnorvn _or has produced a
as identification.
STAMP
Signnhme of Notary Public
Print Namc of No[flry Public
STAMP